Agent Of Change, Llc

LBN: Agent Of Change, Llc
Agent Of Change, Llc is an health care organization with primary practice located at 605 Post Office Rd Suite 301, Waldorf MD 20602-1913. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Agent Of Change, Llc can be contacted via phone (240) 346-0934, or through White, Bertha Lee via phone (240) 346-0934.

Contact Information

Primary practice address
605 Post Office Rd Suite 301 Waldorf MD 20602-1913
Phone: (240) 346-0934
Fax:
Website:
Map and Directions
Authorized official contact:
Name: White, Bertha Lee LCSW-C
Phone: (240) 346-0934

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15403 Maryland

Profile Details

NPI number 1538515309
LBN Legal business name Agent Of Change, Llc
DBA Doing business as
Authorized official White, Bertha Lee LCSW-C
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2016
Last updated May 10th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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